Provider Demographics
NPI:1801049804
Name:LAYTON, TIFFANY AYN (RN, CCRP)
Entity type:Individual
Prefix:MS
First Name:TIFFANY
Middle Name:AYN
Last Name:LAYTON
Suffix:
Gender:F
Credentials:RN, CCRP
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:AYN
Other - Last Name:BATY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1112 E BALBOA DR
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-3907
Mailing Address - Country:US
Mailing Address - Phone:480-406-7272
Mailing Address - Fax:
Practice Address - Street 1:1112 E BALBOA DR
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-3907
Practice Address - Country:US
Practice Address - Phone:480-406-7272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-04
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN066767163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice